BRADLEY WHITE
NPI 1609572742
Assisted Living Facility in Swainsboro, GA
- Individual
- Male
- Assisted Living Facility
About BRADLEY WHITE
This page provides the complete NPI Profile along with additional information for Bradley White, a provider established in Swainsboro, Georgia with a medical specialization in Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1609572742 assigned on January 2023. The practitioner's primary taxonomy code is 310400000X with license number 012221 (GA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1609572742 Verify this NPI
- Provider Name
- BRADLEY WHITE
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 634 SUMMITT AVE SWAINSBORO, GA 30401
- Location Phone
- (478) 268-4348
- Location Fax
- (478) 268-4348
- Mailing Address
- 634 SUMMITT AVE SWAINSBORO, GA 30401
- Mailing Phone
- (478) 268-4348
- Mailing Fax
- (478) 268-4348
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-31-2023
- Last Update Date
- 01-31-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 012221
- License State
- GA
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609572742, enumerated as an "individual" on January 31, 2023.
The provider is located at 634 SUMMITT AVE SWAINSBORO, GA 30401 and the phone number is (478) 268-4348.
Assisted Living Facility with taxonomy code 310400000X.
